Relationship between response to graded exposure and marital satisfaction in agoraphobics

Agoraphobics who were satisfied in their marriage responded well to graded exposure and maintained their improvement to 3-months follow-up. Satisfaction with self and partner remained unchanged in patient and spouse. Agoraphobics who were dissatisfied with their marriage improved initially with graded exposure but later lost most of their gains and reported no change in general neurotic symptoms. Marital dissatisfaction also remained unchanged. Patients' dissatisfaction with their spouses, measured before therapy, predicted outcome in the sample as a whole.